BRAD MADDY

SALT LAKE CITY, UT
NPI1891088340
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  7947692-2401)
Enumeration Date2011-05-17
Last Update Date2011-05-17
Business Address
-- BRAD MADDY
1952 E 7000 S
SALT LAKE CITY, UT 84121-6877
Phone number: 801-942-3311
Mailing Address
-- BRAD MADDY
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311